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[分娩期间非缺氧胎儿经皮测量的二氧化碳分压]

[Transcutaneously measured carbon dioxide partial pressure in non-hypoxic fetuses during labor].

作者信息

Schmidt S, Langner K, Gesche J, Dudenhausen J W, Saling E

出版信息

Geburtshilfe Frauenheilkd. 1983 Sep;43(9):538-41. doi: 10.1055/s-2008-1036573.

Abstract

Using the newly developed Severinghaus electrode we performed measurements of the transcutaneous carbon dioxide partial pressure (tcPco2) in 81 non-hypoxic fetuses during labor. The calibration and measuring temperature was 39 degrees C. After a correction with a factor of 13% the transcutaneous Pco2 values corresponded well with the blood values of the Pco2 from FBA respectively the umbilical artery. While during the first stage of labor we found only a gradual rise in the tcPco2 level, we observed a rapid rise at the end of the second stage. Analysing the influence of clinical factors on the fetal tcPco2 level we found statistically significant higher levels during the first stage of labor in primipara compared with multipara. However there was no significant difference dependent on gestational age, the age of the mother and the birthweight.

摘要

我们使用新开发的Severinghaus电极对81例分娩期非缺氧胎儿进行了经皮二氧化碳分压(tcPco2)测量。校准和测量温度为39摄氏度。经13%的系数校正后,经皮Pco2值与分别来自胎儿头皮血(FBA)和脐动脉血的Pco2值吻合良好。在分娩第一产程中,我们仅发现tcPco2水平逐渐升高,而在第二产程结束时则观察到快速上升。分析临床因素对胎儿tcPco2水平的影响时,我们发现初产妇在分娩第一产程中的tcPco2水平在统计学上显著高于经产妇。然而,在胎龄、母亲年龄和出生体重方面并无显著差异。

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